Changing Settlement Behavior in the New York Workers’ Compensation System—A WCRI FlashReport

By Carol A. Telles, William Monnin-Browder

Related Topics: Indemnity Benefits, Medical Costs, System Overview, Other

This FlashReport provides an in-depth analysis of settlement behaviors in New York, examining the policy changes and other factors influencing these trends. Settlements involving both indemnity and medical benefits are prevalent in New York, particularly in cases with permanent partial disability (PPD) benefits. Understanding these settlements is crucial, as New York’s system includes both schedule loss of use (SLU) and non-schedule awards, determined by the specific body part affected by the injury.

The report’s insights are drawn from WCRI’s Detailed Benchmark/Evaluation database, which comprises claims data from national and regional insurers, as well as claims management organizations. The analysis focuses on open and closed non-COVID-19 indemnity claims from injury years 2005 to 2022, with evaluations conducted at 12 to 60 months of maturity.

Changing Settlement Behavior in the New York Workers’ Compensation System—A WCRI FlashReport. William Monnin-Browder and Carol A. Telles. January 2025. FR-25-01.

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Research Questions:

  • How have the frequency and costs of lump-sum settlements evolved in New York?
  • What impact have policy changes had on settlement trends?
  • How has the time from injury to settlement changed?
  • What shifts have occurred in the use and costs of SLU versus non-schedule awards?

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